Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $125.89 / $213.80 / $371.54	Facility		$125.89	$213.80	$371.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $107.15 / $346.74	Professional		$83.18	$107.15	$346.74
BCBS Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $436.52 / $1,548.82	Facility		$151.36	$436.52	$1,548.82
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.47 / $85.11 / $95.50	Professional		$3.47	$85.11	$95.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $81.28 / $234.42 / $630.96	Facility		$81.28	$234.42	$630.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $117.49 / $190.55	Professional		$38.90	$117.49	$190.55
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $204.17 / $645.65	Professional		$138.04	$204.17	$645.65
Hally Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Facility		$100.00	$100.00	$100.00
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $162.18 / $162.18	Professional		$162.18	$162.18	$162.18
United Facility/Professional Facility Modifier Low / Median / High Price $125.89 / $125.89 / $251.19	Facility		$125.89	$125.89	$251.19
United Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $53.70 / $104.71	Professional		$45.71	$53.70	$104.71